PUBLIX SUPER MARKERS, INC (NPI# 1003337783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003337783 |
| Entity Type | Organization |
| Organization Name | PUBLIX SUPER MARKERS, INC |
| Other Organization Name | PUBLIX PHARMACY #1554 |
| Practice Address |
1776 Polk St. Hollywood FL 33020 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 8636881188 |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2019-12-03 |
| Authorized Official Name | DAIN RUSK (VP PHARMACY) |
| Authorized Official Telephone | 8636881188 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #1554 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144747023 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 101 Blue Moon Crossing, Pooler, GA 31322 | 2017-08-23 |
| 1528589439 | Publix Super Markers, Inc | Pharmacy | 1950 Sand Lake Rd Bldg 5, Orlando, FL 32809-7632 | 2017-06-30 |
| 1407236573 | Publix Super Markers, Inc | Pharmacy | 162 S Hampton Dr, Jupiter, FL 33458-8108 | 2015-06-04 |
| Street Address |
1776 POLK ST. |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694203 | Oaks Medical Group, LLC | Internal Medicine | 2854 Jackson St, Hollywood, FL 33020 | 2020-06-19 |
| 1487217949 | Yaneisy Correa Vento Sr. | Nurse Practitioner | 2700 E Hollywood Blud, Hollywood, FL 33020 | 2019-04-19 |
| 1811453590 | Sandra's Car Service LLC | Non-emergency Medical Transport (VAN) | 2048 Mckinley St. Bay #1, Hollywood, FL 33020 | 2019-02-18 |
| 1134605330 | Cruz Ines Diaz | Peer Specialist | 3400 N- 29th Avenue, Hollywood, FL 33020 | 2018-07-11 |
| 1598258451 | Brian Tran | Dentist | 1704 Stirling Rd., Hollywood, FL 33020 | 2018-06-14 |
| 1295223451 | Broward Treatment Center | Substance Abuse Rehabilitation Facility | 1101 S 21 Ave, Hollywood, FL 33020 | 2018-04-24 |
| 1033617220 | Laura Goldman | Psychologist | 2514 Hollywood Blvd Ste 404, Hollywood, FL 33020 | 2018-01-23 |
| 1205344835 | Sunshine Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 1926 Hollywood Blvd Ste 204, Hollywood, FL 33020 | 2018-01-17 |
| 1124536222 | Melina Rodriguez | Counselor | 3400 N 29th Avenue, Hollywood, FL 33020 | 2018-01-11 |
| 1174043483 | Tiana L Graham | Technician, Pathology | 2415 Lincoln St. # 101, Hollywood, FL 33020 | 2017-06-27 |
| Find all providers in zip 33020 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528689015 | Water Lilly Pharmacy LLC | Pharmacy | 3700 Washington St Ste 206, Hollywood, FL 33021-8249 | 2020-05-06 |
| 1700252939 | Bolluk Pharmacy Corp | Pharmacy | 7120 Stirling Rd, Hollywood, FL 33024-1650 | 2015-08-11 |
| 1578994257 | Sky Pharmacy and Discount Corp | Pharmacy | 2414 Sheridan St, Hollywood, FL 33020-2064 | 2013-12-06 |
| 1134437403 | Emerald Hills Pharmacy LLC | Pharmacy | 3000 Stirling Rd, Ste 120, Hollywood, FL 33021-2069 | 2010-09-20 |
| 1871743310 | Infupharma | Pharmacy | 2013 Harding St, Hollywood, FL 33020-2714 | 2008-09-21 |
| 1003083569 | White Orchid Pharmacy Inc | Pharmacy | 2328b Hollywood Blvd, Hollywood, FL 33020-1201 | 2008-05-14 |
| 1396837407 | Broward Pharmacy & Discount Store Inc | Pharmacy | 2323 N 60 Avenue, Hollywood, FL 33021 | 2006-09-28 |
| 1770687758 | Holiday Cvs LLC | Pharmacy | 6665 Taft St, Hollywood, FL 33024-4010 | 2006-09-12 |
| 1285738146 | Holiday Cvs LLC | Pharmacy | 4599 Sheridan St, Hollywood, FL 33021-3515 | 2006-09-12 |
| 1336243203 | Holiday Cvs LLC | Pharmacy | 901 N Federal Hwy, Hollywood, FL 33020-3537 | 2006-09-12 |
| Find all providers in HOLLYWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.